Pain Management and the Opioid Epidemic


Book Description

Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.




The Moral Property of Women


Book Description

Choice Magazine's Outstanding Academic Books for 2004The only book to cover the entire history of birth control and the intense controversies about reproduction rights that have raged in the United States for more than 150 years, The Moral Property of Women is a thoroughly updated and revised version of the award-winning historian Linda Gordon's classic history Woman's Body, Woman's Right, originally published in 1976.Arguing that reproduction control has always been central to women's status, The Moral Property of Women shows how opposition to it has long been part of the conservative opposition to gender equality. From its roots in folk medicine and in a campaign so broad it constituted a grassroots social movement at some points in history, to its legitimization through public policy, the widespread acceptance of birth control has involved a major reorientation of sexual values. Gordon puts today's reproduction control controversies--foreign aid for family planning, the abortion debates, teenage pregnancy and childbearing, stem-cell research--into historical perspective and shows how the campaign to legalize abortion is part of a 150-year-old struggle over reproductive rights, a struggle that has followed a circuitous path. Beginning with the "folk medicine" of birth control, Gordon discusses how the backlash against the first women's rights movement of the 1800s prohibited both abortion and contraception about 130 years ago. She traces the campaign for legal reproduction control from the 1870s to the present and argues that attitudes toward birth control have been inseparable from family values, especially standards about sexuality and gender equality. Highlighting both leaders and followers in the struggle, The Moral Property of Women chronicles the contributions of well-known reproduction control pioneers such as Elizabeth Cady Stanton, Margaret Sanger, and Emma Goldman, as well as lesser- known campaigners including the utopian socialist Robert Dale Owen, the three doctors Foote--Edward Bliss Foote, Edward Bond Foote, and Mary Bond Foote--the civil libertarian Mary Ware Dennett, and the daring Jane project of the 1970s, in which Chicago women's liberation activists performed illegal abortions.




Telemedicine


Book Description

Telemedicineâ€"the use of information and telecommunications technologies to provide and support health care when distance separates the participantsâ€"is receiving increasing attention not only in remote areas where health care access is troublesome but also in urban and suburban locations. Yet the benefits and costs of this blend of medicine and digital technologies must be better demonstrated before today's cautious decision-makers invest significant funds in its development. Telemedicine presents a framework for evaluating patient care applications of telemedicine. The book identifies managerial, technical, policy, legal, and human factors that must be taken into account in evaluating a telemedicine program. The committee reviews previous efforts to establish evaluation frameworks and reports on results from several completed studies of image transmission, consulting from remote locations, and other telemedicine programs. The committee also examines basic elements of an evaluation and considers relevant issues of quality, accessibility, and cost of health care. Telemedicine will be of immediate interest to anyone with interest in the clinical application of telemedicine.




The Amazing Language of Medicine


Book Description

This book tells the intriguing and often colorful stories of the medical words we use. The origins of clinical and scientific terms can be found in Greek and Latin myths, in places such as jungles of Uganda and the islands of the Aegean Sea, in the names of medicine’s giants such as Hippocrates and Osler, and in some truly unlikely sources. In this book you will learn the answers to questions such as: • What disease was named for an American space flight? • Do you know the echoic word for elephantine rumbling of the bowels? • What drug name was determined by drawing chemists’ notes out of a hat? • What are surfer’s eye, clam digger’s itch, and hide porter’s disease? This book can give you new insights into the terms we use every day in the clinic, hospital, and laboratory. Knowing a word’s history assists in understanding not only what it means, but also some of the connotative subtleties of terms used in diagnosis and treatment. The Amazing Language of Medicine is intended for the enrichment of physicians, other health professionals, students, and anyone involved in clinical care and medical science.




Trusting Doctors


Book Description

For more than a century, the American medical profession insisted that doctors be rigorously trained in medical science and dedicated to professional ethics. Patients revered their doctors as representatives of a sacred vocation. Do we still trust doctors with the same conviction? In Trusting Doctors, Jonathan Imber attributes the development of patients' faith in doctors to the inspiration and influence of Protestant and Catholic clergymen during the nineteenth and early twentieth centuries. He explains that as the influence of clergymen waned, and as reliance on medical technology increased, patients' trust in doctors steadily declined. Trusting Doctors discusses the emphasis that Protestant clergymen placed on the physician's vocation; the focus that Catholic moralists put on specific dilemmas faced in daily medical practice; and the loss of unchallenged authority experienced by doctors after World War II, when practitioners became valued for their technical competence rather than their personal integrity. Imber shows how the clergy gradually lost their impact in defining the physician's moral character, and how vocal critics of medicine contributed to a decline in patient confidence. The author argues that as modern medicine becomes defined by specialization, rapid medical advance, profit-driven industry, and ever more anxious patients, the future for a renewed trust in doctors will be confronted by even greater challenges. Trusting Doctors provides valuable insights into the religious underpinnings of the doctor-patient relationship and raises critical questions about the ultimate place of the medical profession in American life and culture.